Obstetric care providers’ knowledge, practice and associated factors towards active management of third stage of labor in Sidama Zone, South Ethiopia (original) (raw)
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Diversity & Equality in Health and Care, 2016
Background: Active management of third stage of labour properly is frontline to prevent post-partum haemorrhage related maternal morbidity and mortality. 99% of the maternal deaths take places in developing countries. The majority causes of death occur within 4 h after delivery because of haemorrhage. Clinical trial suggests that Routine practice of active management third stage of labour dramatically reduce haemorrhage by 60%. Active management third stage of labour can help to save thousands of women life with low cost. The aims of this study to assess Obstetric care providers Knowledge and Practices o n active management of third stage of labour at Hawassa city, South Ethiopia 2015. Methods: An institutional based cross sectional study was conducted to health institution in Hawassa city, from April to May 2015. By using pretested structured questionnaires for knowledge assessment and observation checklists for practice. Simple random sampling technique was used to select 76 obstetric care providers. Data were entered using Epi Info version 3.5.1 was coded, edited, exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of knowledge and practice of obstetric care providers. Results: 24 (33.3%) of obstetric care providers had knowledgeable about active management third stage of labour and 16.7 % obstetric care providers was applied correctly active management of third stage of labour. Obstetric care providers who took pre/in-service training were 7.4 times was done correctly active management of third stage of labour than didn't take training [AOR=7.4, 95% CI, (1.07-51)]. Conclusion and recommendation: In this study knowledge and practice of obstetric care providers towards active management of third stage of labour is still low. T he governmental and non-governmental organization which works in health related activities plan to give trainings on active management of third stage of labour.
American Academic Scientific Research Journal for Engineering, Technology, and Sciences, 2020
Introduction: The third stage of labour is period between birth of the baby and complete expulsion of the placenta and membrane, which is risky period because of profuse Post-partum hemorrhages. It is prophylactic intervention composed of a package of three components or steps: It includes use of uterotonic immediately following delivery of the fetus, controlled cord traction and fundal massage immediately after delivery of the placenta, followed by palpation of the uterus every 15 minutes for 2 hours to assess the continued need for massage. Unfortunately, the knowledge and practice of obstetric providers toward active management of third stage of labour is disappointing when assessed as our country. The purpose of this study was to investigate and analyze knowledge and practice of active management of the third stage of labor among skilled birth attendants, Adama, Oromia, Ethiopia September 12 to November 08,2019. Method: Facility based cross sectional study was conducted to health facilities in Adama town, among randomly selected 117 obstetric providers, from September 12 to November 08, 2017. By using pretested semi structured questionnaires for knowledge assessment and observation checklists for practice. The collected data were analyzed by using SPSS version 20 statistical software. Descriptive statistics was used for describing study participant and determining results. Binary logistic regression analysis was done and variable with p-value ≤0.025 were entered into multi variable logistic regression analysis to characterize the association between the variables at P-value ≤ 0.05, at CI=95% for statistical significance.
Obstetrics and Gynecology International
Background. World Health Organization strongly recommends that every obstetrical provider at birth needs to have knowledge and skills on active management of the third stage of labor and use it routinely for all women. However, implementation of this lifesaver intervention by skilled birth attendants is questionable because 3% to 16.5% of women still experience postpartum hemorrhage. Even though coverage of giving births at health facilities in Ethiopia increases, postpartum hemorrhage accounts for 12.2% of all maternal deaths occurring in the country. Lack of the necessary skills of birth attendants is a major contributor to these adverse birth outcomes. Objectives. This study aimed to assess the active management of the third stage of labor practice and associated factors among obstetric care providers. Methods. An institution-based cross-sectional study design was applied from March 15 to April 15, 2020. Multistage sampling techniques were used to get 254 participants, and data w...
PLOS ONE
Background Active management of third stage of labor is the most indispensable intervention to avert post-partum hemorrhage which is one of the typical causes of maternal morbidity and mortality. Therefore, the aim of the study was to assess practice and factors associated with active management of third stage of labor among obstetric care providers in referral hospitals. Methods Institution based cross-sectional study design was conducted from April 1-30, 2018. Simple random sampling technique was used to select a total of 356 obstetric care providers. Data were collected using pretested, structured and self-administered questionnaires. Data were entered to Epi data version 3.1 statistical software and exported to SPSS 23 for analysis. Bivariate and multivariate logistic regression analyses were performed to identify associated factors. P value <0.05 with 95% confidence level were used to declare statistical significance. Result This study revealed that practice of active management of third stage of labor was 61.2%. Age group of 20-30 years [AOR = 1.95 (95%CI;1.13-3.38)], Being male obstetric care provider [AOR = 1.74 (95%CI;1.03-2.94)], having work experience �2 years [AOR = 1.95(95% CI;1.13-3.38)], availability of oxytocin [AOR = 5.46 (95%CI; 2.41-12.3)], having exposure to PLOS ONE |
International Journal of Pregnancy & Child Birth, 2019
Background Every year, more than half a million women die to pregnancy and child birth related complications worldwide. 1 Bleeding is a leading direct cause of maternal death, representing 27.1% of maternal death. More than two third of reported maternal death from bleeding was classified as postpartum haemorrhage. 2 In Africa 33.9 % of maternal deaths are due to postpartum haemorrhage. 3 In Ethiopia, twenty thousand women die due to pregnancy and child birth complications. The majority of the deaths occur due to excessive bleeding after child birth within first four hours. 4-6 Postpartum haemorrhage remains a major cause of severe maternal morbidity in low resources countries. In countries with lack resources, the most prominent challenges are; lack of qualified health care providers, the insufficient or incorrect practice of active management of the third stage of labour, the underestimation of blood loss and also the impairment in communication and transportation infrastructure. 7 Postpartum haemorrhage can be prevented by active management of third stage of labour. However about 10% of all maternal deaths were averted with full use of active management of third stage of labour. 2,8 The practice of active management of third stage of labour appears to vary greatly among seven developing countries. Practice of active third stage labour management was very low in African countries (Benin, Ethiopia and united republic of Tanzania), which ranges from 0.5-17.6%. 9 Annually, it was estimated that 1.4 million deliveries didn't practice appropriate active management of third stage labour. This indicates that 1.4 million women miss an opportunity to prevent bleeding after child birth (9). But, World Health Organization recommends that all women should get appropriate active management of third stage labour administered by skilled care provider. 10 Preventing postpartum haemorrhage is a significant strategy to reduce maternal morbidity and mortality. But, many obstetric care
BMC Pregnancy and Childbirth
Introduction The third stage of labor is the shortest, most critical, and hazardous stage as it is linked with postpartum hemorrhage, the leading cause of maternal mortality and morbidity. Postpartum hemorrhage can be prevented by 60% with active management of the third stage of labor (AMTSL). Few studies have been conducted in different parts of Ethiopia showing rates of AMTSL ranging from 16.7% to 43.3%. Limited information, however, exists about its practice in our study area. Thus, we aimed to assess the practice of AMTSL and associated factors among maternity care providers in public health facilities in eastern Ethiopia. Methods An institution-based cross-sectional study design was used among 270 maternity care providers in public health facilities in eastern Ethiopia. They were recruited using cluster sampling techniques in their health facilities from July 15—October 30/2021. Pretested self-administered questionnaires and an observational checklist were used to collect data....
2019
Background Active management of third stage of labour is evidence based inexpensive and effective intervention for the prevention of postpartum hemorrhage which is the leading cause of maternal mortality in low and middle income countries. In spite of this technique being espoused in Ethiopia and internationally, its actual practice and factors influencing its practice were yet to be established.Objective The aim of this study was to assess status of active management of third stage of labor practice and associated factors among skilled birth Attendants in public health facilities of Gamo and Gofa zone, southern EthiopiaMethods Facility based cross-sectional study design was employed on 356 skilled birth attendants working in public health facilities of Gamo and Gofa zone. Semi- structured questionnaire with observational checklist was used to collect the data. Data was checked and entered into Epi info version 7 then exported to statically package for social science version 24 for ...
International Journal of Nursing & Midwifery Research, 2019
Introduction: Active Management of Third Stage of Labour (AMTSL) as a prophylactic intervention is composed of a package of three components. WHO recommendations have supported active management of the third stage of labour (AMTSL) as a critical intervention for PPH prevention. The study aimed to assess the knowledge and practice of AMTSL among nursing students in selected hospitals, Gangtok, Sikkim. Materials and Methods: Investigators adopted quantitative approach with descriptive co-relational research design where 40 students were selected by convenient sampling technique. Validated structured knowledge questionnaire and observational checklist were used to collect the data. Pretesting and reliability of the tool was done which was found to be reliable. Results: The findings revealed that majority of the students i.e. out of 40 students, 33 (82.5%) had average knowledge, 5 (15%) students had poor knowledge and 1 (2.5%) had good knowledge. Majority 21 (52.5%) had poor practice and 19 (47.5%) had good practice on AMTSL. There was a positive correlation between knowledge and practice of AMTSL among nursing students which means with the increase of knowledge, the practice of AMTSL improves. Also, there was an association of practice with the number of return demonstration shown to the supervisor. Conclusion: Knowledge of Active Management of Third Stage of labor is a vital possession for the nurses and birth attendants to be skillful in the practice of AMTSL to prevent post-partum hemorrhage and other obstetric complication, which may risk the life of the women. Knowledge based skill is optimal solution for reducing the maternal mortality rate.
2017
Aim: The aim of this study is to assess the knowledge of Labour/Delivery and Postnatal nurses on active management of third stage of labour and identify the gaps for the effective implementation of this quality improvement initiative. Materials and Methods: The overall aim of this study is to achieve effective implementation of active management of third stage of labour and to reinforce the nurses’ role in assisting for optimal management of obstetrical hemorrhage. The research design was quasi experimental one group pretest posttest survey method using purposive sampling technique. A total of 91 nurses working in Labour/Delivery and Postnatal units of King Khalid University Hospital were selected. To test the statistical significance paired sample t-test was used and to test the relation between the demographic variables and the test scores, one way ANOVA was used. Results: 75 nurses participated in the study, while 16 nurses dropped out of the study after the pretest. The mean pre...
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.3\_March2017/IJHSR\_Abstract.033.html, 2017
Background: Active management of the third phase of labor (AMTSL) has been shown to lessen blood loss in women undergoing vaginal childbirth. It could avert maternal deaths and morbidity. Objective: To assess the Knowledge, skills and identifying barriers to using of Active Management of Third Stage of Labor. Methods: Institution based cross-sectional study supplemented with observation checklist, was conducted among 50 Midwives in Omdurman Maternity Hospital in Sudan. The questionnaires include open as well as, closed-ended questions which cover social, demographic information, knowledge, and practice of midwives on active management of the third stage of labor. The pretest was done for validity and consistency; data were coded and analyzed with SPSS version 17 then presented in tables. Result: About 38 (84.4%) of midwives are not familiar with the current national treatment guidelines, while 7(15.6%) were familiar and 12 (26.7%) are able to use AMSTL. Conclusion: There is malpractice of AMSTL, training and supportive supervision should integrate as necessary to achieve the goals set for Maternal and newborn survival.